NPIMap

Organization Active NPI

Health Clinic East

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1124168919
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTH CLINIC EAST
Practice address
650 S Shackleford Rd
Ste 439
Little Rock, AR 72211-3522
Phone
(501) 224-1690
Fax
(501) 224-1927
NPI assigned
Feb 8, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Childers
Title
Credentialing
Phone
(501) 224-1690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AR Primary

Addresses

Primary practice location

650 S Shackleford Rd
Ste 439
Little Rock, AR 72211-3522

Mailing address

650 S Shackleford Rd
Ste 439
Little Rock, AR 72211-3522
Phone (501) 224-1690

National Provider Directory

National Provider Directory
Tax ID family
Catholic Health Initiatives -St Vincent Interfaith Clinic Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124168919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S SHACKLEFORD RD",
            "address_2": "STE 439",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113522",
            "telephone_number": "501-224-1690",
            "fax_number": "501-224-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S SHACKLEFORD RD",
            "address_2": "STE 439",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113522",
            "telephone_number": "501-224-1690",
            "fax_number": "501-224-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CLINIC EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "501-224-1690"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.